title: Aortic mispuncture during routine catheterization requires emergency cardiac operation.
abstract: Transseptal puncture for left heart catheter or left atrial appendage occlusion is a highly standardized routine intervention in interventional cardiology. However, mispuncture is rare but can be life threatening at worst. Here, we report the case of a combined mispuncture of the right atrium and the ascending aorta resulting in a pericardial effusion with a hemodynamic effective tamponade requiring urgent cardiac operation for successful life saving.
authors.affiliation: Department of Cardiac Surgery, University Hospital Heidelberg, Heidelberg, BW, Germany.
authors.forename: Philipp
authors.initials: P
authors.lastname: Seppelt
authors.forename: Matthias
authors.initials: M
authors.lastname: Karck
authors.forename: Klaus
authors.initials: K
authors.lastname: Kallenbach
mesh_terms: D000368:Aged; D001011:Aorta / Q000293:injuries / Q000601:surgery*; D006328:Cardiac Catheterization / Q000009:adverse effects*; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000209:etiology / Q000601:surgery; D004630:Emergencies; D005260:Female; D006325:Heart Atria / Q000293:injuries / Q000601:surgery*; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010490:Pericardial Effusion / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*